UnitedHealth Group experienced a $1.4 billion net loss in the first quarter of 2024, but revenues increased by almost $8 billion year-over-year.
The company said the growth and medical care activity...
States have implemented their own regulations to address pharmacy benefit manager (PBM) operations, some of which may prove better routes than national legislation, according to a report from the...
Nearly one in four people who were disenrolled from Medicaid remain uninsured, citing costs as barriers to coverage, according to a KFF poll.
Since states resumed conducting Medicaid eligibility...
Health savings account (HSA) plan enrollment did not impact overall healthcare spending but reduced the use of outpatient services, according to data from the Employee Benefit Research Institute...
Payer trade organizations responded negatively to the 2025 Medicare Advantage and Part D Final Rate Notice, citing rising healthcare costs.
“The CMS Final Rate Notice failed to address the...
CMS has finalized policies to promote competition in Medicare Advantage and Part D plans, boost access to behavioral healthcare services, and reduce deceptive marketing practices.
The Contract Year...
Expanding Medicaid eligibility in Georgia would help reduce uninsurance among non-elderly individuals by almost 300,000 people, according to a report from the Urban Institute and the Robert Wood...
CMS has finalized policies to increase access to marketplace coverage and expand essential health benefits (EHBs) in the HHS 2025 Notice of Benefit and Payment Parameters final rule.
“Access to...
HHS has extended the temporary special enrollment period to facilitate marketplace enrollment for beneficiaries who lost Medicaid or Children’s Health Insurance Program (CHIP) coverage following...
Biosimilar competition did not lower out-of-pocket spending on biologics for commercially insured individuals, a study published in JAMA Health Forum found.
Prescription drug spending in the United...
The Biden administration has reduced the timeframe of short-term limited duration insurance plans, also known as “STLDI” or “junk” plans, in an effort to curb underinsurance,...
Medicare spending on GLP-1 drugs, including Ozempic, surpassed $5 billion in 2022 and is likely to continue growing as coverage expands, according to a KFF analysis.
GLP-1 drugs Ozempic, Wegovy, and...
A new CMS final rule, the “Streamlining the Medicaid, Children’s Health Insurance Program, and Basic Health Program Application, Eligibility Determination, Enrollment, and Renewal...
More than 18 million beneficiaries have been disenrolled from Medicaid since the public health emergency ended and states resumed coverage determinations, according to data from...
Meridian Health Plan of Illinois, Inc.—a wholly-owned subsidiary of Centene Corporation that offers Medicaid coverage—announced that it will cover part of the fee hospitals must pay to...
High healthcare costs are burdening Massachusetts residents, with many delaying care due to prices, according to a survey from Beacon Research commissioned by Blue Cross Blue Shield of Massachusetts...
Officials from the Department of Health and Human Services (HHS) met with 15 health insurance companies, including major payers and organizations like UnitedHealth Group, Elevance Health, and...
Healthcare spending is higher in households where Medicare covers all members, a KFF issue brief found.
Around 66 million adults receive health insurance coverage through Medicare, including 59...
Kentucky-based Baptist Health Medical Group and Humana have reached a new contract agreement, restoring in-network coverage for Medicare Advantage and commercial patients.
The multi-year agreement...
Wellcare, the Medicare brand of Centene Corporation, has partnered with a technology company to improve access to value-based primary care.
The company, Pearl Health, focuses on physician enablement...
